Txhua Yam Koj Yuav Tsum Tau Paub Txog Tus Kab Mob Kiab Paj Yeeb

Zoo Siab

• Cov tsos mob kheesxaws Pancreatic
• Kev mob kheesxaws ua rau mob cancer
• Kev mob kheesxaws ntawm tus kabmob Pancreatic
• Pancreatic mob cancer theem
• Pancreatic mob cancer theem 4
• Txoj kev mob qog nqaij hlav hlav 3
• Txoj kev mob nqaij hlav hlav 2
• Kev kho tus mob khees xaws
• Kev phais mob
• Kev siv hluav taws xob
• Kws khomob
• Cov hom phiaj kho
• Kev mob kheesxaws hauv Pancreatic
• Kev kuaj mob cancer rau hauv Pancreatic
• Pancreatic mob cancer cia siab lub neej
• Kho puas yog mob cancer pancreatic?
• Pancreatic muaj feem yuav mob cancer
• Txoj kev phais mob qog noj ntshav
• Pancreatic mob cancer hom
• Pancreatic adenocarcinoma
• Cov hlav hlav neuroendocrine hlav (NETs)
• Kev tiv thaiv mob qog noj ntshav

Kev mob qog noj ntshav yog dab tsi?

Kev mob kheesxaws hauv lub cev nqaij hlav hlav nyob rau hauv cov ntaub so ntswg los ntawm tus txiav, uas yog ib qho tseem ceeb heev endocrine hloov hauv qab lub plab. Lub txiav ua lub luag haujlwm tseem ceeb hauv kev zom zaub mov los ntawm kev tsim cov enzymes uas lub cev xav tau kev zom cov rog, carbohydrates, thiab cov protein.

Qhov txiav ua tiav tseem tuaj yeem tsim ob qho tseem ceeb hormones: glucagon thiab insulin. Cov tshuaj hormones no yog lub luag haujlwm tswj hwm cov piam thaj. Cov tshuaj insulin pab cov cell metabolize glucose ua lub zog thiab glucagon pab txhawm rau nce qib siab thaum lawv qis dhau.

Vim thaj chaw ntawm tus txiav, kab mob pancreatic tej zaum yuav nyuaj rau kuaj thiab feem ntau kuaj mob ua ntau theem ntawm tus kab mob.

Raws li American Cancer Society hais tias, mob qog nqaij hlav rau nqaij hlav cancer tuaj txog kwv yees li 3 feem pua ​​ntawm kev kuaj mob cancer hauv Tebchaws Meskas thiab 7 feem pua ​​mob cancer tuag.

Cov tsos mob kheesxaws Pancreatic

Pancreatic cancer feem ntau tsis pom cov tsos mob kom txog thaum nws mus txog theem siab kawg ntawm tus kab mob. Vim li no, feem ntau tsis pom muaj tus mob qog nqaij hlav hais ua ntej lawm.

Txawm hais tias mob cancer tau loj tuaj, qee qhov ntawm feem ntau cov tsos mob tuaj yeem hloov maj mam. Lawv suav nrog:

• tsis qab los noj mov
• tsis poob ceeb thawj phaus
• plab (plab) lossis sab nraub qaum
• ntshav txhaws
• daj ntseg (tawv daj thiab qhov muag)
• kev nyuaj siab

Kev mob kheesxaws uas kis tau yuav ua rau cov tsos mob preexisting hnyav zuj zus. Yog tias tus kabmob kis mus, koj yuav muaj cov cim ntxiv thiab cov tsos mob ntawm tus mob cancer pancreatic siab dua.

Kev mob kheesxaws ua rau mob cancer

Cov ua rau mob kheesxaws ntawm pancreatic tsis paub. Hom mob qog ntshav no tshwm sim thaum cov qog hlwb txawv pib nyob rau hauv lub txiav thiab mob qog.

Feem ntau, cov hlwb noj qab haus huv loj hlob thiab tuag nyob rau cov naj npawb hauv sim. Tus kabmob kheesxaws, muaj ntau ntxiv ntawm cov cell ua haujlwm tsis zoo, thiab cov hlwb no yuav los ntawm cov hlwb noj qab nyob zoo.

Txawm hais tias cov kws kho mob thiab cov kws tshawb nrhiav tsis paub dab tsi ua rau muaj kev hloov hauv lub hlwb, lawv paub qee yam xwm txheej uas yuav ua rau tus neeg muaj feem mob qog nqaij hlav cancer.

Ob qho kev pheej hmoo tseem ceeb tshaj plaws yog kev hloov caj ces los ntawm noob caj noob ceg thiab cov noob coj los hloov. Cov noob tswj cov kev ua haujlwm ntawm tes, yog li hloov mus rau cov caj ces yuav ua rau mob cancer.

Kev mob kheesxaws ntawm tus kabmob Pancreatic

Kev muaj sia nyob yog ib feem pua ​​ntawm pes tsawg tus tib neeg uas muaj tib hom thiab theem qog hais tias mob cancer yog tseem muaj sia nyob tom qab lub sijhawm tshwj xeeb. Tus xov tooj no tsis qhia txog tias tib neeg yuav nyob mus ntev npaum li cas. Hloov chaw, nws pab ntsuas seb yuav kho tus mob cancer zoo npaum li cas.

Feem ntau ntawm cov muaj sia nyob tau muab raws li tsib feem pua. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias tus nqi ntawm kev ciaj sia tsis yog qhov tseeb. Yog tias koj muaj lus nug txog cov lej no, tham nrog koj tus kws kho mob.

Feem tsib xyoos kom muaj sia nyob rau neeg mob qog nqaij hlav hauv hlwb yog 34 feem pua. Cov kab mob cancer hauv cheeb tsam yog theem 0, 1, thiab 2.

Feem tsib xyoos kom muaj sia nyob rau cov mob hlav hlav hauv cheeb tsam uas tau kis mus rau cov tsev nyob ze lossis qog 12 feem pua. Theem 2B thiab 3 poob rau hauv pawg no.

Cov mob qog nqaij hlav uas nyob deb, lossis theem 4 muaj kabmob kheesxaws uas tau kis mus rau lwm qhov chaw xws li lub ntsws, nplooj siab, lossis pob txha, muaj 3 feem pua ​​muaj sia nyob ntev.

Pancreatic mob cancer theem

Thaum pom muaj tus kabmob kheesxaws hauv pancreatic, kws khomob yuav tuaj kuaj ntxiv kom nkag siab tias yog lossis qhov twg mob cancer kis. Kev ntsuam xyuas cov duab, xws li PET scan, pab cov kws kho mob txheeb xyuas qhov muaj ntawm qog nqaij hlav cancer. Tseem yuav siv txoj kev kuaj ntshav.

Nrog rau cov kev sim no, cov kws kho mob tau sim ua kom muaj mob qog noj ntshav. Cov theem pab piav qhia hais tias nws yog tus kabmob siab npaum li cas. Nws tseem yuav pab cov kws kho mob txiav txim xaiv cov kev kho mob.

Thaum kuaj tau pom tiav lawm, koj tus kws kho mob yuav taw ib theem raws li kev kuaj mob:

• theem 1: hlav hlav muaj nyob hauv tus txiav tawv nqaij xwb
• theem 2: cov qog tau kis mus rau cov nqaij hauv plab lossis cov qog ntshav nyob ze
• theem 3: mob cancer tau kis mus rau cov ntshav loj thiab cov qog ntshav
• theem 4: cov qog tau kis mus rau lwm yam kabmob, xws li lub siab

Pancreatic mob cancer theem 4

Theem 4 pancreatic cancer tau dhau mus rau qhov chaw qub mus rau qhov chaw nyob deb, zoo li lwm yam kabmob, lub hlwb, lossis pob txha.

Kev mob kheesxaws hauv Pancreatic feem ntau kuaj tau nyob rau theem no vim tias nws tsis tshua muaj tsos mob kom txog rau thaum nws kis mus rau lwm qhov chaw. Cov kev mob tshwm sim uas koj tuaj yeem ntsib nyob rau theem no suav nrog:

• mob hauv plab plab
• mob mob nraub qaum
• nkees
• daj daj ntseg (daj tawv nqaij)
• ib tug poob ntawm qab los noj mov
• poob phaus
• kev nyuaj siab

Theem 4 pancreatic cancer kho tsis tau, tab sis kev kho mob tuaj yeem txo cov tsos mob thiab tiv thaiv kev cuam tshuam los ntawm mob cancer. Cov kev kho no tuaj yeem suav nrog:

• kev kho tshuaj
• kho mob palliative mob
• bile duct bypass phais
• kua tsib ob leeg stent
• pais plab bypass phais

Tus nqi tsib xyoo ntawm kev muaj sia nyob rau theem 4 mob qog nqaij hlav cancer yog 3 feem pua.

Txoj kev mob qog nqaij hlav hlav 3

Theem 3 pancreatic cancer yog lub qog ntshav hauv lub txiav thiab tej zaum ze thaj chaw, xws li cov qog ntshav lossis hlab ntshav. Kev mob qog nqaij hlav hauv theem no tsis tau kis mus rau qhov chaw nyob deb.

Pancreatic cancer yog hu ua mob qog nqaij hlav ntsiag to vim hais tias feem ntau nws tsis kuaj pom kom txog thaum nws mus txog theem siab kawg. Yog tias koj muaj cov tsos mob ntawm theem 3 pancreatic mob cancer, koj yuav muaj kev:

• mob mob nraub qaum
• mob lossis mob hauv siab ib ce
• ib tug poob ntawm qab los noj mov
• poob phaus
• nkees
• kev nyuaj siab

Theem 3 pancreatic cancer nyuaj kho, tab sis kev kho tuaj yeem pab tiv thaiv kev kis mob qog nqaij hlav thiab yooj yim tshwm sim los ntawm cov qog ntshav. Cov kev kho no yuav suav nrog:

• phais kom tshem ib feem ntawm cov txiav (Whipple sai)
• tshuaj los tiv thaiv mob cancer
• hluav taws xob kho

Feem tsib xyoos kom muaj sia nyob rau qib 3 mob qog nqaij hlav cancer yog 3 mus rau 12 feem pua.

Feem ntau ntawm cov neeg muaj tus mob theem no yuav muaj mob tshwm sim dua. Qhov ntawd yuav tshwm sim vim qhov tseeb tias micrometastases, lossis thaj chaw me me uas tsis paub txog kev mob qog noj ntshav, tau dhau mus ua tus txiav tawm li lub sijhawm nrhiav tau.

Txoj kev mob nqaij hlav hlav 2

Theem 2 pancreatic cancer yog mob cancer uas tseem nyob hauv lub txiav thiab tej zaum yuav kis tau rau qee cov hlav nyob ze. Nws tsis tau kis mus rau cov ntaub so ntswg ze lossis ntshav hlab, thiab nws tsis kis mus rau lwm qhov chaw hauv lub cev.

Kev mob kheesxaws hauv Pancreatic yog qhov nyuaj los tshawb pom txog rau theem thaum ntxov, suav nrog theem 2. Qhov ntawd vim nws tsis zoo li yuav ua rau pom cov tsos mob uas nrhiav tau. Yog tias koj muaj cov tsos mob nyob rau theem thaum ntxov, koj yuav muaj kev:

• dajntoo
• hloov hauv cov xim tso zis
• mob lossis mob hauv siab ib ce
• poob phaus
• tsis qab los noj mov
• nkees

Kev kho mob yuav suav nrog:

• kev phais mob
• hluav taws xob
• kev kho tshuaj
• hom phiaj tshuaj kho mob

Koj tus kws kho mob yuav siv ntau hom kev txuas ntxiv no los pab ua kom cov qog thiab tiv thaiv cov kab mob metastases. Tus nqi tsib xyoo ntawm kev muaj sia nyob rau cov neeg muaj mob qog nqaij hlav 2 txhaus yog li ntawm 30 feem pua.

Kev kho tus mob khees xaws

Kev kho tus mob qog nqaij hlav nyob ntawm theem mob cancer. Nws muaj ob lub hom phiaj: los tua cov kab mob qog thiab tiv thaiv kev kis tus mob.

Kev poob phaus, hnyuv tawm tsam, mob plab, thiab daim siab ua haujlwm yog cov muaj cov kev mob tshwm sim ntau tshaj plaws nyob rau kev kho mob qog noj ntshav.

Kev phais mob

Txoj kev txiav txim siab siv kev phais mob los kho mob qog nqaij hlav mob qog nqaij hlav tawm tuaj rau ob yam: thaj chaw ntawm mob qog thiab theem qog noj ntshav. Kev phais mob tuaj yeem tshem tawm tag nrho lossis qee qhov kev txiav txim siab ntawm tus txiav.

Qhov no tuaj yeem tshem tawm cov qog qub, tab sis nws yuav tsis tshem tawm cov qog uas tau kis mus rau lwm qhov ntawm lub cev. Kev phais mob tej zaum yuav tsis haum rau cov tib neeg muaj mob qog nqaij hlav cancer txiav txim siab rau theem vim li cas.

Kev siv hluav taws xob

Lwm txoj kev kho mob yuav tsum tau tshawb nrhiav thaum ib tus kabmob kis mus rau sab nrauv ntawm tus txiav. Kev siv hluav taws xob tua hluav taws xob yog siv xoo hluav taws xob thiab lwm qhov chaw siab ua kom muaj zog tua cov qog nqaij hlav cancer.

Kws khomob

Muaj qee kis, koj tus kws kho mob yuav txuas lwm cov kev kho mob nrog kev siv tshuaj kho mob, uas siv cov tshuaj tua kabmob kheesxaws los pab tiv thaiv kev loj hlob ntawm cov qog noj ntshav.

Cov hom phiaj kho

Hom kev kho mob cancer no siv cov tshuaj lossis lwm yam kev ntsuas coj los ntsuas cov mob cancer tshwj xeeb thiab ua haujlwm los rhuav tshem lawv. Cov tshuaj no tau tsim los kom tsis txhob ua mob lossis noj qab nyob zoo.

Kev mob kheesxaws hauv Pancreatic

Cov neeg muaj sia nyob rau kev mob qog noj ntshav qab zib tau txhim kho nyob rau xyoo tsis ntev los no. Kev tshawb nrhiav thiab kev kho mob tshiab tau nthuav dav nyob rau nruab nrab li ntawm tsib xyoo kev muaj sia nyob rau cov neeg kuaj mob qog noj ntshav.

Txawm li cas los xij, tus kab mob tseem pom tias nyuaj kho tsis tau. Vim hais tias mob qog nqaij hlav cancer feem ntau tsis ua rau cov tsos mob kom txog thaum mob cancer yog nyob rau theem siab, qhov yuav ua rau muaj mob cancer kis, lossis metastasized, muaj ntau. Qhov ntawd ua rau nws mob nyuaj kho lossis txo mob qog nqaij hlav cancer.

Ua ke nrog lwm txoj kev ntsuas nrog kev kho mob niaj hnub tuaj yeem pab txhim kho koj lub neej kom zoo. Yoga, ua kom pom, thiab ua kom lub teeb me me yuav ua rau pom kev noj qab haus huv thiab ua rau koj nyob zoo dua thaum kho.

Kev kuaj mob cancer rau hauv Pancreatic

Kev paub thaum ntxov tseem ceeb yuav ua rau muaj feem rov zoo dua. Yog vim li cas nws yog qhov zoo tshaj rau koj mus ntsib koj tus kws kho mob yog tias koj tau ntsib cov tsos mob uas yuav tsis ploj mus lossis rov muaj mob dua.

Txhawm rau kuaj mob, koj tus kws kho mob yuav tshuaj xyuas koj cov tsos mob thiab keeb kwm kev kho mob. Tej zaum lawv yuav xaj ib lossis ntau qhov kev kuaj mob txhawm rau kuaj tus kabmob kheesxaws, xws li:

• CT lossis MRI scans tau txais qhov ua tiav thiab ntxaws duab ntawm koj cov txiav
• endoscopic ultrasound, nyob rau hauv uas txoj hlab nyias nyias, yoog raws nrog lub koob yees duab txuas tau muab tso rau hauv plab kom tau txais cov duab ntawm lub txiav
• muab nqaij los kuaj, lossis ib qho nqaij ntawm lub cev coj mus kuaj ntawm tus txiav
• kuaj ntshav seb puas muaj mob qog nqaij hlav CA 19-9 yog tam sim no, uas tuaj yeem qhia pom tias muaj mob qog noj ntshav

Pancreatic mob cancer cia siab lub neej

Pancreatic cancer yog ib hom mob uas tuag taus ntau tshaj plaws - hmoov tsis muaj, ntau tus neeg mob tsis tau txais kev kuaj mob kom txog thaum nws kis tawm sab nrauv ntawm tus txiav. Feem tsib-xyoo kom muaj sia nyob ntev rau txhua qib ntawm tus mob cancer txiav yog 9 feem pua.

Ua raws li koj tus kws kho mob cov lus qhia tuaj yeem pab txhim kho koj txoj kev pheej hmoo kom rov zoo thiab muaj sia nyob. Koj kuj tseem tuaj yeem xav txog:

• pancreatic enzyme pab txhim kho kev zom zaub mov
• tshuaj kho mob
• Kev mus kuaj mob tsis tu ncua, txawm hais tias mob cancer raug tshem tawm zoo

Kho puas yog mob cancer pancreatic?

Kev mob kheesxaws uas kho tau yog kho tau, yog tias nws pom ntxov. Ob txoj kev phais mob, Whipple tus txheej txheem lossis tus txiav txiav, tuaj yeem tshem tawm ib feem lossis txhua daim txiav. Qhov no yuav tshem tawm thawj zaug mob qog noj ntshav.

Hmoov tsis zoo, feem ntau ntawm cov qog nqaij hlav pancreatic tsis pom thiab kuaj tau kom txog thaum mob cancer nyob hauv theem siab thiab kis dhau qhov chaw qub.

Kev phais mob tej zaum yuav tsis haum rau cov neeg mob cancer txiav txim thaum kawg. Yog hais tias mob cancer tau kis mus rau lwm thaj chaw ntawm lub cev, tshem cov qog lossis cov txiav tsis tuaj yeem yuav kho tsis tau. Lwm yam kev kho mob yuav tsum raug txiav txim siab.

Pancreatic muaj feem yuav mob cancer

Txawm hais tias qhov ua kom mob cancer no tseem tsis tau paub meej, muaj qee yam kev pheej hmoo uas yuav ua rau koj muaj feem mob qog noj ntshav qog noj ntshav. Koj yuav muaj kev pheej hmoo siab yog koj:

• haus luam yeeb - 30 feem pua ​​ntawm cov neeg mob qog noj yog muaj feem rau kev haus luam yeeb luam yeeb
• yog rog
• txhob tawm dag zog ib ce tas li
• noj cov khoom noj muaj roj ntau hauv cov rog
• haus cawv ntau
• muaj ntshav qab zib
• ua haujlwm nrog tshuaj tua kab thiab tshuaj lom neeg
• muaj mob o ntawm daim tawv nqaij txiav
• muaj mob rau daim siab
• yog neeg Asmeskas-Asmeskas
• muaj keeb kwm ntawm tsev neeg muaj mob qog noj ntshav (pancreatic cancer) lossis qee yam kev mob caj ces cuam tshuam txog hom mob cancer

Koj cov DNA muaj qhov zoo rau koj kev noj qab haus huv thiab cov xwm txheej koj tuaj yeem tsim kho. Koj tuaj yeem txais cov keeb caj ces uas yuav ua rau koj muaj kev pheej hmoo rau mob qog ntshav.

Txoj kev phais mob qog noj ntshav

Yog tias cov mob ua lub siab ntev rau txiav, koj yuav tsum tau phais mob. Txawm hais tias tsis yog phais lossis qhov kev phais mob yog qhov kev xaiv tau los ntawm qhov chaw nyob ntawm tus kabmob.

Cov qog tau tawm nyob rau "taub hau thiab caj dab" ntawm cov hlab ntsws tuaj yeem muab tshem tawm nrog cov txheej txheem hu ua Whipple sai (pancreaticoduodenectomy).

Hauv txoj kev ua no, thawj feem, lossis "taub hau" ntawm tus txiav thiab txog 20 feem pua ​​ntawm "lub cev," lossis ntu thib ob, raug tshem tawm. Hauv qab ntawm ib nrab ntawm txoj kab npoo thiab thawj ntu ntawm txoj hnyuv kuj tau tshem tawm.

Hauv kev hloov kho tshiab ntawm kev phais no, ib feem ntawm lub plab tseem raug tshem tawm.

Pancreatic mob cancer hom

Muaj ob hom mob cancer pancreatic:

Pancreatic adenocarcinoma

Kwv yees 95 feem pua ​​ntawm mob qog nqaij hlav pancreatic yog pancreatic adenocarcinomas. Hom mob qog noj ntshav ntawm paj hlwb loj hlob tuaj nyob hauv exocrine cov hlab ntawm tus txiav. Feem ntau ntawm cov qog nyob rau hauv lub txiav yog cov exocrine cov hlwb, uas ua rau pancreatic enzymes los yog ua rau lub pancreatic ducts.

Cov hlav hlav neuroendocrine hlav (NETs)

Hom kab mob qog nqaij hlav hauv hlwb tsawg dua tuaj yeem txhim kho cov hlwb endocrine ntawm cov txiav. Cov hlwb no ua lub luag haujlwm tsim cov tshuaj hormones, suav nrog cov uas pab tswj ntshav qab zib.

Kev tiv thaiv mob qog noj ntshav

Cov kws tshawb nrhiav thiab cov kws kho mob tseem tsis tau nkag siab tias dab tsi ua rau mob qog ntshav. Nws kuj txhais tau tias lawv tsis paub txog cov qib koj yuav ua los tiv thaiv tus mob qog noj ntshav.

Qee yam kev pheej hmoo uas ua rau koj muaj peev xwm hloov hom mob cancer tsis tuaj yeem hloov pauv. Cov no suav nrog koj tus tub los ntxhais, hnub nyoog, thiab DNA.

Txawm li cas los xij, qee qhov kev hloov lub neej thiab kev noj qab haus huv tag nrho tuaj yeem txo koj txoj kev pheej hmoo. Cov no suav nrog:

• Txiav Luam Yeeb: Kev haus luam yeeb nce koj kev pheej hmoo rau ntau hom mob cancer, nrog rau mob qog noj ntshav.
• Haus dej haus tsawg: Kev haus cawv ntau yuav ua rau koj muaj feem ua mob ncauj ke ntev thiab muaj mob qog noj hlav.
• Tswj lub cev noj qab nyob zoo: Kev rog dhau los yog rog dhau los yog qhov phom sij ua rau ntau yam kabmob kheesxaws.